Geoffrey M Gullo, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD24515 Issued in OR

Practice address

335 SE 8TH Ave
Hillsboro, OR 97123-4246

Phone

(513) 681-1109

Fax

(503) 681-1835

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Imaging PCGroup PAC ID 6608766423, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.17 of 100Reported as individual

Quality

94.34

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Imaging PC

  dba Rayus Radiology

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1700983319
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  NPD (past)
• Epic Imaging-West, Inc.

  • Diagnostic Radiology Physician
  • Beaverton, OR
  • NPI 1407921208
  NPD (past)
• Tanasbourne Radiology

  • Specialist
  • Aloha, OR
  • NPI 1649242819
  NPD (past)
• RMR Investments Inc

  • Diagnostic Radiology Physician
  • Lakeside, CO
  • NPI 1942283973
  NPD (past)
• Rocky Mountain Radiologists PC

  • Diagnostic Radiology Physician
  • Wheat Ridge, CO
  • NPI 1013990043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1063589026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28130",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972288130",
            "telephone_number": "503-681-1109",
            "fax_number": "503-681-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234246",
            "telephone_number": "513-681-1109",
            "fax_number": "503-681-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "GEOFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD24515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227540",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Guimont, D.C.
• Emily Monique Guizar
• Hodan A Gulaid
• Rachel Jean Gulelat, MA
• Nicole Gulick, M.A.
• Whitney Gustafson, OTR
• Giselle Gutierrez
• Monique Gutierrez, M.D.
• Daniel Gutmann, QMHA
• Maira Isabel Guzman Soto, CADC-R

• Diagnostic Radiology Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.